Exploration on the effects of two kinds of hemostatic methods during ovarian cyst surgery under laparoscope on ovarian function by inhibin B

Objective:To explore the effects of two kinds of hemostatic methods during ovarian cyst surgery under laparoscope on postoperative ovarian function.Methods:312 patients with benign ovarian cystic lesions were selected,including 112 patients with ovarian teratoma,158 patients with ovarian chocolate cyst and 42 patients with ovarian cystadenoma.All the patients were equally divided into two groups,one method was used in each group.Blood samples were abstracted from the patients before operation and at 6 months after operation to detect the serum levels of inhibin B,estradiol and progestogen,and type B ultrasound was used to monitor ovarian volume and blood flow index of ovarian stroma after operation.Results:In suture hemostasis group,there was no significant difference in serum levels of inhibin B,estradiol and progestogen before and after operation(P0.05).In non-suture hemostasis group,there was no significant difference in serum levels of inhibin B,estradiol and progestogen before and after operation(P0.05).There was no significant difference in serum levels of inhibin B,estradiol and progestogen before operation between suture hemostasis group and non-suture hemostasis group(P0.05);there was no significant difference in serum levels of inhibin B,estradiol and progestogen after operation between suture hemostasis group and non-suture hemostasis group(P0.05).The results of ultrasonic monitoring after operation showed that all the ovarian volumes were within normal range,no recurrence occurred;the peak velocity of blood flow of ovarian stroma in non-suture hemostasis group was significantly higher than that in suture hemostasis group(P0.05).Conclusion:The two kinds of hemostatic methods during ovarian cyst surgery under laparoscope don't affect ovarian hormonogenesis,thus,ovarian cyst surgery under laparoscope can furthest reserve the ovarian function of patients with benign ovarian cyst.For the patients with ovarian cyst of child-bearing age,bipolar electrocoagulation at local wound and non-suture hemostasis of residual ovarian tissues may reserve ovarian responsiveness better.